Organization Active NPI

Pillar Residential LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Oregon City, OR
National Provider Identifier
1972416477
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
PILLAR RESIDENTIAL LLC
Practice address
20025 Mossy Meadows Ave
Oregon City, OR 97045-7136
Phone
(240) 936-7962
NPI assigned
Sep 24, 2026
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eyusias Tsegaye Wake, QMHA
Title
Residential Manager
Phone
(240) 936-7962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

20025 Mossy Meadows Ave
Oregon City, OR 97045-7136

Mailing address

20025 Mossy Meadows Ave
Oregon City, OR 97045-7136
Phone (240) 936-7962

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1972416477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20025 MOSSY MEADOWS AVE",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970457136",
            "telephone_number": "240-936-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20025 MOSSY MEADOWS AVE",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970457136",
            "telephone_number": "240-936-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILLAR RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "WAKE",
        "authorized_official_first_name": "EYUSIAS",
        "authorized_official_middle_name": "TSEGAYE",
        "authorized_official_title_or_position": "RESIDENTIAL MANAGER",
        "authorized_official_telephone_number": "240-936-7962",
        "authorized_official_credential": "QMHA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.